Core capability

Claims Engine

First-class claims workflow with intelligent triage

Registration → validation → coverage check → evidence → assessment → decision → payout. The intelligence layer flags missing documents, fraud indicators and anomalies at every step.

The outcome we sell

Claims resolved in days, with measurably less leakage and fraud exposure.

Measured against your baseline. You pay on the delta — not licenses, seats or hours.

Pilot it standalone

Digitise claim intake and triage for one line while settlement stays in your existing process.

Every pilot ships with deterministic stub integrations — KRA, M-Pesa, WhatsApp — so you can prove the outcome before a single real credential is issued. Swap drivers in .env when you go live.

Or run the whole operation

Inside CoverOS this capability shares one customer model, one event bus and one intelligence layer with everything else — quotes trigger communications, payments drive renewals, claims feed learning. One baseline, compounding deltas.

Capabilities it compounds with

Channels

WhatsApp Access Channel

Outcome: Customers onboarded, served and paying — without a portal login or agent visit.

APIs

KYC & Identity API

Outcome: Onboarding in seconds: verified KRA PIN and national ID at API speed.

Core

Insurance CRM

Outcome: A book of business your team actually acts on — more renewals, fewer lost customers.

We don't sell software. We build intelligent technology that produces measurable outcomes.

Name your outcome